Active NPI
Maryview Hospital
Doing business as Bon Secours Urology Specialists
- Urology Physician
- Chesapeake, VA
National Provider Identifier
1417239815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- MARYVIEW HOSPITAL
- Doing business as
- Bon Secours Urology Specialists
- Practice address
- 3105 Western Branch Blvd
Chesapeake, VA 23321-5543 - Phone
- (757) 690-8506
- Fax
- (757) 690-8502
- NPI assigned
- Sep 13, 2011
- Last updated
- Jun 25, 2012
- Organization subpart
- Yes
- Parent organization
- MARYVIEW HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael K Kerner
- Title
- Ceo
- Phone
- (757) 673-5929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | NU | Primary |
Addresses
Primary practice location
3105 Western Branch Blvd
Chesapeake, VA 23321-5543
Mailing address
3105 Western Branch Blvd
Chesapeake, VA 23321-5543
Phone (757) 690-8506
Other names 1
- Bon Secours Urology Specialists
National Provider Directory
National Provider Directory- Part of
- Maryview Health Care Ce
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340582400000",
"number": "1417239815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 WESTERN BRANCH BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215543",
"telephone_number": "757-690-8506",
"fax_number": "757-690-8502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 WESTERN BRANCH BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215543",
"telephone_number": "757-690-8506",
"fax_number": "757-690-8502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYVIEW HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARYVIEW HOSPITAL",
"enumeration_date": "2011-09-13",
"last_updated": "2012-06-25",
"status": "A",
"authorized_official_last_name": "KERNER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-673-5929"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bon Secours Urology Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chesapeake, VA
- Mary's Home Inc
- Maryview Hospital (Chenault-Ostroff Urological Assoicates)
- Maryview Hospital (Bon Secours Pulmonary Specialists)
- Maryview Hospital (Bon Secours Greenbrier Behavioral Health)
- Maryview Hospital (Poplar Hill OB/GYN)
- Maryview Hospital (Internist Western Branch)
- Maryview Hospital (Bon Secours Grassfield Medical Associates)
- Maryview Hospital (Susan Almquist, MD (OB/GYN))
- Maryview Hospital LLC (Deep Creek Family Practice)
- Maryview Hospital LLC (Bon Secours Western Branch Primary Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.